Back to Health A to Z. An anal fissure is a tear or open sore ulcer that develops in the lining of the large intestine, near the anus. Do not let embarrassment stop you seeking help. Anal fissures are a common problem GPs are used to dealing with.

Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Often the tear is visible. Usually this exam is all that's needed to diagnose an anal fissure. An acute anal fissure looks like a fresh tear, somewhat like a paper cut. A chronic anal fissure likely has a deeper tear, and may have internal or external fleshy growths. A fissure is considered chronic if it lasts more than eight weeks.

Jump to content. An anal fissure is a tear in the lining of the lower rectum anal canal that causes pain during bowel movements. Anal fissures don't lead to more serious problems. Most anal fissures heal with home treatment after a few days or weeks. These are called short-term acute anal fissures.

Anal fissures are small tears or cracks on the part of the anus that opens when you pass stools— where the inside of the anus meets the outside. They are associated with pain and bleeding during bowel movements. Most will heal on their own and do not require treatment.